motivations for the right dx

Vic Nicholls nichollsvi2 at GMAIL.COM
Wed Jan 22 19:42:35 UTC 2014

I have heard about the "productivity" issue. Does it help if you all
code by the level of complexity? For example, if you have 3
older/diabetes/hypertension/obesity consults and a heart/cancer patient,
I would think that would require a longer visit. How can you all be
expected to get that in without scrimping elsewhere?

Does it matter if we the patients tell the bosses thank you for spending
a few moments with us?

My thinking is that if we can help you all better, you all will help us


On 1/22/2014 11:11 AM, Karen Cosby wrote:
> I'd like to think most doctors always want to be right for many
> reasons.  First, the ability to make the right diagnosis goes to the
> heart of their professional skills.  Secondly, doctors need to be
> confident because they have to trust their skills in moments when
> their decisions can impact life and death.  I don't think most doctors
> need any more incentive than that!  However, perhaps more importantly,
> they need freedom from disincentives.  Increasingly doctors are pushed
> by limits on times, and limits of testing.  I know my productivity is
> being watched and measured, and my administration isn't shy to
> embarrass or punish me for not seeing enough patient's per hour or
> ordering too many tests.  Many groups offer bonuses based on
> productivity. However, I have never known anyone to be rewarded for a
> "good save" or "timely diagnosis" beyond their own personal
> satisfaction (which is more than enough!).

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